Individual
JILL N O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CDE
Contact information
Practice address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 457-4570
(507) 474-3284
Mailing address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 457-4570
(507) 474-3284
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R 91559-9
MN
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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